What does it mean when your back hurts and your chest hurts due to delayed menstruation?

Unless there are special circumstances, menstruation will basically arrive on time. It is normal even if it is one or two days late. Although most women will feel very uncomfortable in their lower body during menstruation, they rarely experience pain. Some women are very worried about menstruation because menstruation will cause obvious pain in their bodies. So, what is the situation of delayed menstruation and backache and chest pain?

Dysmenorrhea is one of the most common gynecological symptoms. It refers to lower abdominal pain and distension before, during, or after menstruation, accompanied by backache or other discomfort, which seriously affects the quality of life. Dysmenorrhea is divided into two categories: primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea refers to dysmenorrhea without organic lesions of the reproductive organs; secondary dysmenorrhea refers to dysmenorrhea caused by organic pelvic diseases, such as endometriosis and adenomyosis.

Causes

1. The occurrence of primary dysmenorrhea is mainly related to the increase in endometrial prostaglandin content during menstruation. Elevated PGF2α levels are the main cause of dysmenorrhea. High levels of PGF2α can cause excessive contraction of uterine smooth muscle and vascular spasm, resulting in uterine ischemia and hypoxia and dysmenorrhea.

2. Increase in substances such as vasopressin, endogenous oxytocin and β-endorphin.

3. Mental and neurological factors.

4. Secondary pain is often caused by endometriosis, adenomyosis, etc.

Clinical manifestations

1. Primary dysmenorrhea is more common in adolescence, often occurring within 1 to 2 years after menarche. The main symptom is lower abdominal pain that occurs regularly during the menstrual cycle. The symptoms of secondary dysmenorrhea are the same as those of primary dysmenorrhea. Secondary pain caused by endometriosis often progressively worsens.

2. The pain usually starts after menstruation, and the earliest appearance is 12 hours before menstruation. The pain is most severe on the first day of menstruation and lasts for 2 to 3 days before being relieved. The pain is often spasmodic. It is usually not accompanied by abdominal muscle tension or rebound pain.

3. It may be accompanied by symptoms such as nausea, vomiting, diarrhea, dizziness, fatigue, etc. In severe cases, the face will turn pale and cold sweats will occur.

4. No abnormalities were found during gynecological examination.